iKcare^(■)分级评定系统与Brunnstrom分期评估脑卒中患者上下肢运动功能的一致性评价  

Consistency evaluation of iKcare^(■)grading system and Brunnstrom staging on motor function of upper and lower extremities in stroke patients

作　　者：赵科洪 王婷婷[1,2] 屈云 ZHAO Kehong;WANG Tingting;QU Yun(Department of Rehabilitation Medicine,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Key Laboratory of Rehabilitation Medicine in Sichuan Province,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院康复医学中心,成都610041 [2]康复医学四川省重点实验室,成都610041

出　　处：《华西医学》2023年第5期694-697,共4页West China Medical Journal

基　　金：国家重点研发计划课题(2017YFC1308504);四川省科学技术厅课题(2021YJ0184)。

摘　　要：目的探讨iKcare^(■)分级评定系统与Brunnstrom分期评估脑卒中患者上肢与下肢运动功能的一致性。方法2018年5月-2020年5月在全国34家医疗机构招募符合标准的脑卒中患者。分别采用iKcare^(■)分级评定系统和Brunnstrom分期评估受试者上肢及下肢的运动功能。采用Kappa一致性检验评价2种评定方法的一致性。结果共纳入符合条件的受试者340人,其中男性230人,女性110人。患者平均年龄(61.44±12.77)岁,平均病程(62.96±42.53)d。结果显示,上肢分期评估Kappa值为0.597(P<0.001),下肢分期评估Kappa值为0.514(P<0.001)。结论iKcare^(■)分级与Brunnstrom分期的评估结果具有中等的一致性,可作为脑卒中患者运动功能远程康复的评定工具,但仍有改善空间。Objective To explore the consistency between the iKcare^(■)grading system and Brunnstrom staging in evaluating upper and lower limb motor function in stroke patients.Methods From May 2018 to May 2020,stroke patients who met the standards in 34 medical institutions in China were recruited.The iKcare^(■)grading system and Brunnstrom staging were used to evaluate the motor function of the upper and lower limbs of the subjects,respectively.The Kappa consistency test was used to evaluate the consistency between the two evaluation methods.Results A total of 340 eligible subjects were included,including 230 males and 110 females,with an average age of(61.44±12.77)years old,and an average course of disease of(62.96±42.53)days.The results showed that the Kappa evaluated for upper limb staging was 0.597(P<0.001),and the Kappa evaluated for lower limb staging was 0.514(P<0.001).Conclusions The evaluation results of iKcare^(■)grading and Brunnstrom staging have moderate consistency.The iKcare^(■)grading system can be used as an assessment tool for remote rehabilitation of motor function in stroke patients,but there is still room for improvement.

关 键 词：脑卒中 远程康复 Brunnstrom分期 康复评定 

分 类 号：R743.3[医药卫生—神经病学与精神病学]